Individual
KEVIN J DIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRS, CFRS
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 951-8300
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 951-8300
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
14753
PA
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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